Individual
MS. ANDREA D. DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CAP ICADC NCACIP
Contact information
Practice address
2640 HIAWATHA AVE, SUITE E, SANFORD, FL 32773-5342
(407) 603-3579
(407) 495-5709
Mailing address
2294 NEWMARK DR, DELTONA, FL 32738-6214
(407) 603-3579
(407) 495-5709
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4270
FL
101YM0800X
Mental Health Counselor
4270
FL
101YP1600X
Pastoral Counselor
—
OK
171M00000X
Case Manager/Care Coordinator
4270
FL
174400000X
Specialist
120578
FL
174V00000X
Clinical Ethicist
—
FL
Other
Enumeration date
05/12/2007
Last updated
03/18/2015
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